Name * First Name Last Name Email * Phone * (###) ### #### Job Title * Job Level * Entry-Level Intermediate/Experienced First-Level Management Middle Management Executive or Senior Management How did you hear about us? * Google Pinterest LinkedIn Facebook Instagram Company Website Referral Event Other If you selected other, please indicate the source. Are you a PWI subscriber? * Yes No If answered no in the previous question, would you like to be added to our email list to receive more tips and resources on purpose and meaningful work? You can unsubscribe at any time. Yes No Have you ever invested in coaching before? * Yes No Are you ready to invest in your development? Please note that our coaching programs start at $500/month. * Yes No Are you ready to commit to the time that coaching requires? Please note that our coaching programs require a minimum 3-month time committment. * Yes No What are you hoping to accomplish by the end of your coaching program? * We only accept students and clients who we believe are a great fit and we can serve well. Please share why you think you are a good fit. * I understand that by filling out this application, I am requesting to be considered for a spot in the Excel Women Coaching Program. At this point in time, I understand I am only showing interest in this program and am under no obligation to join or make payment. Before acceptance into this program, I may be invited to have a 30 minute Discovery Session to ensure a 100% win-win + perfect fit. I understand that if I am accepted into the program, after reviewing and submitting my payment/contract (supplied after the Discovery Session), I am committed to the program for its duration. I understand my role and the role of my coach in this program. I will ask questions and clarify anything I don’t understand. I am committed to doing everything I need to do to get 100% from the program. I understand that a separate payment/contract will be submitted to me for my review after this application is accepted and the Discovery Session is held. By entering my name in the space below, I agree to the terms above and submit my application for review. * Thank you!
